Medical Forms
Patient Information Forms
| Filename | Description | Size | Type |
|---|---|---|---|
| Medicare Patient Questionnaire.pdf | 9.15 KB |
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| Pediatric Questionnaire.pdf | 10.71 KB |
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| Patient Information Form.pdf | 19.24 KB |
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| Patient Information Form (Under 18).pdf | 360.15 KB |
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Policies & Notices
| Filename | Description | Size | Type |
|---|---|---|---|
| Payment Policy.pdf | 13.31 KB |
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| Privacy Notice.pdf | 16.12 KB |
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| Fall-Winter 2007 Chapter Newsletter | 1.86 MB |
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The Bill Guy Technology Solutions
This web site is provided for informational purposes only. All inquiries regarding treatment including prescriptions and refills should not be submitted through this site. To ensure that our patients receive appropriate care, we request that you call during normal business hours so that we may promptly respond.